1 Whether you have bipolar I or II disorder, you'll typically need mood-stabilizing medication to control manic or hypomanic episodes. 2  Examples of mood stabilizers include lithium (Lithobid), valproic acid (Depakene), divalproex sodium (Depakote), carbamazepine (Tegretol, Equetro, others) and lamotrigine (Lamictal). Antidepressants. 2  Your doctor may add an antidepressant to help manage depression. 3  Because an antidepressant can sometimes trigger a manic episode, it's usually prescribed along with a mood stabilizer or antipsychotic. 4  Antidepressant-antipsychotic.
One of the first things to do is throw away those Q-tips and never use them again. One possible cause of bleeding after a Q-tip use would be a ruptured eardrum or an abrasion/scratch in the sensitive ear canal area. Pimples can also form in the ear canal. It would take a hands-on otoscopic examination by a medical provider to know the exact source, and how to treat it.
Occult means you do not know there is blood in the stool, i.e., you cannot see bright red recognizable blood like you might see if you had bleeding from hemorrhoids. Testing for fecal occult blood is commonly used as a cancer screen for colon cancer. A positive test can mean other conditions however. A review article, Rockey DC: Occult gastrointestinal bleeding. N Engl J Med 1999;341:38-46 addresses some questions you might have if you turned out to have a positive test.